Plan de contingencia para los servicios de medicina intensiva frente a la pandemia COVID-19

Abstract

Resumen En enero de 2020 China identificó un nuevo virus de la familia de los Coronaviridae como causante de varios casos de neumonía de origen desconocido. Inicialmente confinado a la

Severe infection due to the SARS-CoV-2 coronavirus: Experience of a tertiary hospital with COVID-19 patients during the 2020 pandemic

“…In a way similar to what was seen in the influenza A (H1N1)pdm09 pandemic, 20 obesity was very common in our patients. In contrast, obesity was not mentioned in the studies carried out in China 9 or Italia, 3 though it is indeed cited in the published experience in Vitoria (Basque Country) 7 and in a recent study in the United States 21 – where the incidence of obesity was even higher (41.7%). This situation could complicate direct extrapolation of the international data, 3 , 8 , 9 , 10 , 11 , 21 , 22 since different populations are involved.…”

“…1 Patients infected with SARS-CoV-2 can develop serious viral pneumonia known as COVID-19, characterized by severe respiratory failure, and which has placed a heavy burden on Spanish Intensive Care Units (ICUs) and the national healthcare system as a whole. 2 , 3 In Europe, the first case of adult acute respiratory distress syndrome (ARDS) attributable to SARS-CoV-2 was diagnosed in Italy on 20 February 2020, 4 and a little less one month later the first patient with ARDS due to COVID-19 was admitted to our ICU.…”

“… 5 According to data published by the National Epidemiological Surveillance Network of the Instituto de Salud Carlos III , 6 on 16 of April 2020, of the total 59,094 hospitalized patients in Spain, 4390 were admitted to the ICU – this representing a proportion of 7.4%. Taking into account that both the characteristics of the patients admitted to the ICU due to COVID-19 and the care received – and hence the resulting crude mortality rate – can differ considerably among different centers 7 and countries, 3 , 5 , 7 , 8 , 9 , 10 the present study was carried out to describe the clinical and respiratory characteristics of a series of consecutive patients with severe COVID-19 in a Spanish tertiary hospital, differentiating the subjects according to ICU outcome after 28 days.…”

Unmet needs, health policies, and actions during the COVID-19 pandemic: a report from six European countries

“…In the city of Madrid, the pavilions of the city fair were converted into a field hospital to accommodate 5000 patients. Other infrastructures, such as hotels and municipal gyms, were converted into hospitals for the control of post-acute COVID-19 patients [23].…”

Recomendaciones sobre reanimación cardiopulmonar en pacientes con sospecha o infección confirmada por SARS-CoV-2 (COVID-19). Resumen ejecutivo

“…El objetivo de estos elementos es la protección del trabajador frente a salpicaduras de fluidos biológicos o secreciones durante las maniobras de reanimación. Además, en situaciones de alto riesgo de transmisión vírica, intensificar las medidas de protección parece razonable y prudente 6,7 .…”